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Temporary stenting in a case of Stanford type A aortic dissection complicated with left main coronary ischemia

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Abstract

A 54-year old man suffering from back pain was diagnosed with Stanford type A aortic dissection in our emergency unit. During the preparation of the operating room, he developed coronary ischemia with chest pain and depressed blood pressure accompanied with abnormal electro- and echocardiography findings. He was transported to the catheter laboratory where stent placement into the left main coronary artery was successfully performed. Thereafter, he underwent total arch replacement, during which the stent was removed intentionally without performing coronary artery bypass graft. His postoperative course was uneventful and he is doing well without any ischemic event for 2 years after the surgery.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Kagawa Prefectural Central Hospital, 1-2-1, Asahimachi, Takamatsu, Kagawa, 760-8557, Japan

    Shu Yamamoto, Tatsuya Ogawa, Tomohiro Hayashida, Gentaro Kato & Takeshi Shichijo

Authors
  1. Shu Yamamoto
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  2. Tatsuya Ogawa
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  3. Tomohiro Hayashida
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  4. Gentaro Kato
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  5. Takeshi Shichijo
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Correspondence to Shu Yamamoto.

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Yamamoto, S., Ogawa, T., Hayashida, T. et al. Temporary stenting in a case of Stanford type A aortic dissection complicated with left main coronary ischemia. Gen Thorac Cardiovasc Surg 69, 100–102 (2021). https://doi.org/10.1007/s11748-020-01385-4

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  • DOI: https://doi.org/10.1007/s11748-020-01385-4

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